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NPI Code Detail

MEDICARE: DR. JERAULD D FERRITTO JR. D.P.M.

MEDICARE:  DR. JERAULD D FERRITTO JR. D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0131XFoot Surgery Podiatrist36001780OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245234806
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JERAULD D FERRITTO JR. D.P.M.
Provider Business Mailing Address
First Line : 3774 BROADWAY
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2235
Country : US
Telephone Number : 614-875-8211
Fax Number : 614-875-0769
Provider Business Practice Location Address
First Line : 3774 BROADWAY
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2235
Country : US
Telephone Number : 614-875-8211
Fax Number : 614-875-0769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 04/06/2015

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